Physiotherapy intervention in labor: Development and validation of a care protocol

Abstract

The Ministry of Health encourages the implementation of public health policies that promote humanized normal birth, such as Rede Cegonha and the National Policy for the Humanization of Childbirth and Birth. Physiotherapeutic intervention in obstetric care values ​​the autonomy of the parturient woman, through the active use of the body, guidance on the pelvic floor muscles, positioning, pain relief methods with transcutaneous electrical stimulation, breathing exercises and pelvic mobility. Therefore, the objective was to develop a physiotherapy care protocol in labor. This is a methodological study with a qualitative approach, of the Convergent Care Research type, which consists of combining research with care practice. The research was carried out at Santa Casa de Misericórdia do Pará, a reference in the care of high-risk pregnant women. The setting was the institution's delivery room. Ten postpartum women in labor, older 18 years old, with a gestational age equal to or greater than 37 weeks, in a usual risk pregnancy. The postpartum women who participated in the protocol reported that the birth experience was better than the previous ones due to the intervention carried out with pelvic exercises and pain relief with the transcutaneous electrical stimulation device, which helped at this time, both for safety and pain relief. pain. And, with the implementation of the protocol in the institution, we sought to strengthen the role of this professional in the birth scenario, where the protocol strengthened and improved the category's practice. The suggested protocol for the humanization of the hospital was related to the elaboration and validation of physiotherapy assistance, which was of quality, defined and publicized the mission and appreciation of this professional.